MED SURG 1 EXAM 2 | MEDICAL-SURGICAL NURSING EXAM 2 STUDY GUIDE |
PRACTICE QUESTIONS & ANSWERS 2026/2027
A patient has had bowel surgery. Which symptom, assessed by the nurse, is the best indicator of
intestinal activity? - ✔✔passage of flatus or stool
Which assessment finding for an older adult patient does the nurse ascribe to the natural aging process?
- ✔✔decrease in respiratory muscle strength
The nurse knows that under normal physiologic conditions of tissue perfusion, a patient will have what
percent of oxygen dissociate from the hemoglobin molecule - ✔✔50%
Which assessment finding does the nurse interpret that is associated most closely with lung disease? -
✔✔caught is the main sign of lung disease
What is the priority nursing assessment when a patient is admitted to the PACU? - ✔✔airway and gas
exchange
When positioning to promote comfort in the postoperative patient, which intervention is most
appropriate - ✔✔reposition the patient at least every 2 hours
The nurse understands that which of the following is the most common symptom of pneumonia in the
older adult patient? - ✔✔confussion
A patient presents to the primary healthcare provider's office with fever, ear pressure, sore throat, nasal
congestion, and poor response to decongestants. What condition does the nurse suspect? -
✔✔bacterial rhinositis
A nursing student is teaching a 72-year-old patient about the importance of the pneumonia vaccination.
Which teaching requires intervention by the nurse? (Select all that apply.) - ✔✔"You will only need one
vaccine called Pneumovax
"If you have had the Prevnar vaccine, then you will not need the Pneumovax vaccine."
"Since you are over 64 years old, only the flu vaccine is suggested
Based on the patient's diagnosis, which clinical manifestations would the nurse expect to see when
assessing this patient? (Select all that apply.) - ✔✔Shortness of breath
Use of accessory muscles
Sitting in a forward posture
Barrel chest appearance
When the patient arrives to the unit, she is assessed and is in acute respiratory distress. Her respirations
are labored and her respiratory rate is 34. She states that she is severely short of breath. Her oxygen
saturation is 82% on O2 at 2 L via nasal cannula. Based on these findings, what should the nurse do next?
- ✔✔The Rapid Response Team should be notified immediately. All of these assessment findings
indicate acute respiratory difficulty. The oxygen saturation should be at least 90% on 2 L per NC.
PRACTICE QUESTIONS & ANSWERS 2026/2027
A patient has had bowel surgery. Which symptom, assessed by the nurse, is the best indicator of
intestinal activity? - ✔✔passage of flatus or stool
Which assessment finding for an older adult patient does the nurse ascribe to the natural aging process?
- ✔✔decrease in respiratory muscle strength
The nurse knows that under normal physiologic conditions of tissue perfusion, a patient will have what
percent of oxygen dissociate from the hemoglobin molecule - ✔✔50%
Which assessment finding does the nurse interpret that is associated most closely with lung disease? -
✔✔caught is the main sign of lung disease
What is the priority nursing assessment when a patient is admitted to the PACU? - ✔✔airway and gas
exchange
When positioning to promote comfort in the postoperative patient, which intervention is most
appropriate - ✔✔reposition the patient at least every 2 hours
The nurse understands that which of the following is the most common symptom of pneumonia in the
older adult patient? - ✔✔confussion
A patient presents to the primary healthcare provider's office with fever, ear pressure, sore throat, nasal
congestion, and poor response to decongestants. What condition does the nurse suspect? -
✔✔bacterial rhinositis
A nursing student is teaching a 72-year-old patient about the importance of the pneumonia vaccination.
Which teaching requires intervention by the nurse? (Select all that apply.) - ✔✔"You will only need one
vaccine called Pneumovax
"If you have had the Prevnar vaccine, then you will not need the Pneumovax vaccine."
"Since you are over 64 years old, only the flu vaccine is suggested
Based on the patient's diagnosis, which clinical manifestations would the nurse expect to see when
assessing this patient? (Select all that apply.) - ✔✔Shortness of breath
Use of accessory muscles
Sitting in a forward posture
Barrel chest appearance
When the patient arrives to the unit, she is assessed and is in acute respiratory distress. Her respirations
are labored and her respiratory rate is 34. She states that she is severely short of breath. Her oxygen
saturation is 82% on O2 at 2 L via nasal cannula. Based on these findings, what should the nurse do next?
- ✔✔The Rapid Response Team should be notified immediately. All of these assessment findings
indicate acute respiratory difficulty. The oxygen saturation should be at least 90% on 2 L per NC.
